EHRs improve quality of prescribing for patients with COPD exacerbations
The number of patients receiving all recommending pharmacologic therapies improved after the implementation of a computerized multidisciplinary order in patients' EHRs.
HealthDay News — Implementation of a computerized multidisciplinary order set in the electronic health record improves the quality of physician pharmacologic prescribing for patients hospitalized for chronic obstructive pulmonary disorder (COPD) exacerbations, according to research published online April 8 in the Annals of the American Thoracic Society.
Kirsten E. Brown, DO, from the University of Minnesota in Minneapolis, and colleagues performed a study before and after implementation of a computerized physician order set for patients hospitalized for COPD exacerbations. The authors examined the rate of zero prescribing errors by physicians for inpatient and discharge drugs for COPD for a 1-year period before and 6-month period after implementation (194 and 81 COPD exacerbation admissions, respectively).
The researchers found that the percentage of patients receiving all recommended pharmacologic therapies increased from the pre-implementation period to post-implementation period (18.6% to 54.3%; P < 0.001). There was also a decrease in the mean number of errors, from 1.76 to 0.65 (P < 0.001). Over the 6-month post-implementation period, improvements were sustained. There was a decrease in hospital length of stay, from 4.0 ± 3.0 days pre-implementation to 2.9 ± 1.9 days post-implementation (P = 0.002).
"Computerized multidisciplinary admission order set implementation for patients hospitalized for a COPD exacerbation improved physicians' adherence to evidence-based pharmacologic treatment, and [was] associated with reductions in length of hospital stay," the authors write.
One author disclosed financial ties to GlaxoSmithKline.
- Brown KE, Johnson KJ, Deronne BM, et al. Order set to improve the care of patients hospitalized for COPD exacerbations. Ann Am Thorac Soc. 2016; doi: 10.1513/AnnalsATS.201507-466OC